JUDE CODILLA

LONG BEACH, CA
NPI1609265669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  8663)
Enumeration Date2015-01-14
Last Update Date2015-01-14
Business Address
-- JUDE CODILLA
260 E MARKET ST
LONG BEACH, CA 90805-5910
Phone number: 562-428-4681
Mailing Address
-- JUDE CODILLA
260 E MARKET ST
LONG BEACH, CA 90805-5910
Phone number: